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PubMed2001

The clinical and educational experiences of pre-registration house officers in general practice.

AIMS: To describe aspects of the clinical experience and educational supervision gained by pre-registration house officers (PRHOs) in general practice, and to relate these to the current General Medical Council (GMC) aims for general clinical training in general practice. DESIGN: Qualitative evaluation, part of which involved semistructured interviews with 12 PRHOs who were experiencing a general practice rotation. Interviews were conducted at the beginning and the end of the pre-registration year, and following return to hospital work after completion of the general practice placement. SETTINGS: Three teaching hospitals, two district general hospitals and six general practices in south-east England. PARTICIPANTS: 12 PRHOs who were involved in rotations incorporating a general practice placement. RESULTS: To varying degrees, the GMC aims for training in general practice were met for all the participants. All PRHOs recognized the value of the clinical experience and educational supervision they received in general practice. They particularly valued aspects such as having an individual training programme based on their own needs, and the interlinking of theory and practice, which aided learning. Most felt that having responsibility for their own patients acted as an important incentive for learning, and in general, PRHOs appreciated having the time to learn which general practice allowed. CONCLUSIONS: For the majority of PRHOs, the time spent in general practice was seen as a positive clinical and educational experience. In a variety of ways, the general practice placement encouraged PRHOs to develop the self-directed learning skills seen as essential to the lifelong learning advocated by the GMC. A number of recommendations are made to help improve the integration of the hospital and general practice components of these rotations.

Clinical Competence↗
PubMed1998

Review of a general practice attachment for accident and emergency training.

General practice secondments are being increasingly undertaken by specialist registrars in accident and emergency (A&E) medicine. This paper describes how two A&E trainees arranged general practice secondments and the experiences gained. There follows a discussion of the benefits to the general practice and trainees involved, together with a contemporary consideration of the interaction between general practice and A&E services in the UK.

Costs and Cost Analysis↗
PubMed1980

The work content of general practice. Based on a survey of selected procedures performed by Victorian general practitioners in 1978.

Much has been spoken about the changing nature of general practice, although little documental evidence is available to identify the nature of these changes. Such changes are said to include provision of some diagnostic services, diminishing involvement in surgical and obstetrical procedures, and a lessening of GP involvement in the hospital care of patients. Information about the range of services provided by the average general practitioner is essential knowledge required by planners of undergraduate, vocational and continuing education programmes. In view of the anticipated rapid increase in general practitioner numbers in the near future, further changes in the nature of the discipline are predicted. A survey of general practitioners was therefore proposed by four bodies concerned with medical education relevant to general practice, viz. -- the Victorian Medical Postgraduate Foundation, the Monash University Department of Social and Preventive Medicine (Section of Community Practice), the Royal Australian College of General Practitioners (Victoria Faculty) and the Victorian Academy for General Practice Limited.

Anesthesiology↗